YASARGIL® Aneurysm Clip System

YASARGIL® Aneurysm Clip System
The most trusted name in Aneurysm treatment for over 45 years
Aesculap Neurosurgery
YASARGIL® Aneurysm Clip System
1968
The first generation YASARGIL
Aneurysm Clips were made from
steel with a half spring coil and
no jaw guidance.
1970
The YASARGIL Aneurysm Clip
with 1.5 spring coil and safety
ring were introduced to enhance
closing force and stability.
1983
1995
The YASARGIL Aneurysm Clip
made from Phynox increases MRI
compatibility. A patented box
lock improves the characteristics
with regard to alleviating the
“scissoring” effect.
The YASARGIL Aneurysm Clip with
1.5 spring coil made from titanium
improves postoperative control and
diagnosis by reducing the number
of artifacts in CT and MRI scans.
The "Gold Standard“ for Aneurysm treatment
How can a surgeon be sure that the instruments he is using for lifesaving
aneurysm surgery deserve the trust his patients place in him?
The evidence is based in the development of the clip design by Prof. Gazi
M. YASARGIL.
Decades of intensive cooperation with other leading neurosurgeons all
over the world form the foundation for Aesculap’s technical and scientific
experience.
Since their introduction, over 2 million clips have been implanted by
thousands of neurosurgeons in more than 80 countries. A milestone in the
history of neurosurgery.
The surgical treatment of cerebral aneurysms will continue to represent an
important and indispensable therapy option into the future.
Through further innovation and development of the YASARGIL Aneurysm
Clip system, Aesculap will continue to offer implants and instruments of
high quality for our customers and their patients.
2
Indications for Use:
The Yasargil Aneurysm clips are intended
for occlusion of cerebral aneurysms in either
a temporary or permanent manner. They are
applied with Aesculap clip appliers, which
contain titanium alloy or phynox jaws.
See Instructions for Use for additional
information including Warnings and
Precautions.
Rx Only.
2004
2006
2013
The XS Clip Applier was introduced
to support keyhole surgery.
The YASARGIL Aneurysm T-Bar and
AVM Clips made from titanium and
Phynox aid and expand treatment
possibilities.
The first Mini clips with fenestration
allow for a more precise
reconstruction of the vascular
structures in narrow spaces.
■
■
■
■
Quality Leader
Manufactured in Aesculap’s state-of-the-art production facility
in Tuttlingen, Germany to ensure Aesculap quality standards.
Trusted Experience
Since their introduction in 1968, over 2 million YASARGIL
Aneurysm Clips have been implanted worldwide.
Education Commitment
The Aesculap Academy provides professional development and
training courses in over 40 countries, with a world-wide
reputation as a leading forum for medical training.
Excellent Performance
Strong clinical outcomes make YASARGIL
Aneurysm Clips the #1 choice of cerebrovascular
neurosurgeons worldwide.
3
YASARGIL® Aneurysm Clip System
A simple piece of wire...
Quality you can trust
REM image
Atraumatic tip of a YASARGIL Clip from Aesculap
Smooth surface prevents damage to tissue.
4
REM image
Atraumatic blade profile of a YASARGIL Clip from Aesculap
The deep, symmetrical, pyramidal stamping of
both blades doubles the contact surface area and
counteracts the slip effect.
REM image
Unique box lock of a YASARGIL Clip from Aesculap
The flat design with a broad contact surface enables
smooth opening and closing as well as stability.
Measured point
... becomes a critical tool for
advanced treatment of aneurysms.
Force
1/3 L
L
DID YOU KNOW?
■
30 production steps are required to produce one clip.
■
70 % of the production is performed manually under the microscope.
■
A clip is checked 10 times for dimension, surface and closing force during the production process.
■
The profile of the blades are stamped evenly with 24 tons.
■
The manufacturing tolerances of 0.02 mm are 10 times smaller than a human hair.
■
The welding temperature for the metal plate reaches 2500 °C (4532 °F).
■
The serial no. allows for traceability back to every clip individually.
5
YASARGIL® Aneurysm Clip System
Titanium Standard Clips
TEMPORARY
STANDARD
TITANIUM
Closing force
Blade
length
Maximal
opening
mm
mm
Closing force
Blade
length
Maximal
opening
mm
mm
N
g
FT240T
7.0
6.2
1.08
110
FT740T
7.0
6.2
1.47 150
FT250T
9.0
7.0
0.88
90
FT750T
9.0
7.0
1.77 180
FT260T
11.0
7.8
0.88
90
FT760T
11.0
7.8
1.77 180
FT280T
15.0
9.2
0.88
90
FT780D
15.0
9.2
1.96 200
FT292T
17.5
10.6
0.88
90
FT792D
17.5
10.6
1.96 200
FT290T
20.0
11.4
1.08
110
FT790D
20.0
11.4
1.96 200
FT242T
6.5
6.0
1.08
110
FT742T
6.5
6.0
1.47 150
FT252T
8.3
6.8
0.88
90
FT752T
8.3
6.8
1.77 180
FT262T
10.2
7.5
0.88
90
FT762T
10.2
7.5
1.77 180
FT282T
13.7
8.7
1.08
110
FT782T
13.7
8.7
1.96 200
FT286T
15.3
9.8
1.08
110
FT786T
15.3
9.8
1.77 180
FT244T
5.4
5.5
1.08
110
FT744T
5.4
5.5
1.47 150
FT254T
6.4
6.1
1.08
110
FT754T
6.4
6.1
1.77 180
Art. No.
6
PERMANENT
L
Art. No.
L
N
g
L
FT264T
Closing force
Blade
length
Maximal
opening
mm
mm
N
g
8.0
6.5
1.08
110
Art. No.
L
Blade
length
Maximal
opening
mm
mm
Closing force
N
g
FT764T
8.0
6.5
1.77
180
FT284T
10.3
7.4
1.08 110
FT784T
10.3
7.4
1.96
200
FT323T
7.4
5.4
1.08 110
FT823T
7.4
5.4
1.77
180
FT324T
8.4
5.8
1.08 110
FT824T
8.4
5.8
1.77
180
FT325T
10.5
6.2
1.08 110
FT825T
10.5
6.2
1.77
180
FT270T
5.0
8.0
1.08 110
FT770T
5.0
8.0
1.96
200
FT271T
5.0
8.0
1.08 110
FT771T
5.0
8.0
1.96
200
FT272T
5.0
8.0
1.08 110
FT772T
5.0
8.0
1.96
200
■
MR Conditional, 3-Tesla or less*
■
Color coding with blue spring (Standard clip) and golden or silver blades (temporary or permanent clip respectively)
■
Sterile packaging
STANDARD
Art. No.
PERMANENT
TITANIUM
TEMPORARY
* Please refer to the MRI Safety Information section of the Instructions for Use for MR-related safety information.
7
YASARGIL® Aneurysm Clip System
Titanium Standard Clips
TEMPORARY
TITANIUM
STANDARD
Art. No.
8
PERMANENT
L
Blade
length
Maximal
opening
mm
mm
Closing force
N
g
Art. No.
L
Blade
length
Maximal
opening
mm
mm
Closing force
N
g
FT248T
7.0
7.9
0.88
90
FT748T
7.0
7.9
1.96
200
FT258T
9.0
8.7
0.88
90
FT758T
9.0
8.7
1.96
200
FT259T
12.0
10.2
0.88
90
FT759T
12.0
10.2
1.96
200
FT103T
6.1
6.5
1.08
110
FT603T
6.1
6.5
1.96
200
FT113T
8.0
6.2
1.08
110
FT613T
8.0
6.2
1.96
200
FT310T
9.0
6.5
1.08
110
FT810T
9.0
6.5
1.96
200
FT123T
10.6
7.8
1.08
110
FT623T
10.6
7.8
1.96
200
FT263T
11.8
8.4
1.08
110
FT763T
11.8
8.4
1.67
170
FT319T
5.0
5.6
1.28
130
FT819T
5.0
5.6
1.96
200
FT320T
7.0
4.5
1.28
130
FT820T
7.0
4.5
1.96
200
PERMANENT
Blade
length
Maximal
opening
mm
mm
Closing force
Maximal
opening
mm
mm
N
g
FT322T
10.0
5.6
1.28
130
FT822T
10.0 5.6
1.96
200
FT350T
6.7
5.4
1.28
130
FT850T
6.7 5.4
1.96
200
Art. No.
L
Art. No.
L
N
g
FT351T
9.0
5.6
1.28
130
FT851T
9.0
5.6
1.96
200
FT330T
7.0
7.2
0.88
90
FT830T
7.0
7.2
1.96
200
FT332T
9.3
7.2
0.88
90
FT832T
9.3
7.2
1.96
200
FT333T
11.3
8.2
0.88
90
FT833T
11.3
8.2
1.96
200
FT246T
7.0
5.7
0.88
90
FT746T
7.0
5.7
1.96
200
FT273T
7.8
5.3
0.88
90
FT773T
7.8
5.5
1.77
180
FT261T
11.4
8.0
0.88
90
FT761T
11.4
8.0
1.96
200
FT247T
8.6
7.0
0.88
90
FT747T
8.6
7.0
1.77
180
■
MR Conditional, 3-Tesla or less*
■
Color coding with blue spring (Standard clip) and golden or silver blades (temporary or permanent clip respectively)
■
Sterile packaging
STANDARD
Closing force
Blade
length
TITANIUM
TEMPORARY
* Please refer to the MRI Safety Information section of the Instructions for Use for MR-related safety information.
9
YASARGIL® Aneurysm Clip System
Titanium Standard Clips with Fenestration
TEMPORARY
PERMANENT
Diameter of fenestration 3.5 mm
Maximal
opening
FT097T
3/8.1
7.5
1.08
110
FT098T
4/9.1
7.4
1.08
FT099T
5/10.1
7.4
FT100T
6/11.1
FT110T
STANDARD
TITANIUM
Closing force
Blade
length
mm
L1/L2
Maximal
opening
FT597T
3/8.1
7.5
1.47
150
110
FT598T
4/9.1
7.4
1.47
150
1.08
110
FT599T
5/10.1
7.4
1.47
150
7.4
1.08
110
FT600T
6/11.1
7.4
1.47
150
9/14.1
8.4
1.08
110
FT610T
9/14.1
8.4
1.47
150
FT120T
12/17
9.6
1.08
110
FT620T
12/17
9.6
1.77
180
FT102T
5/7.8
5.8
1.08
110
FT602T
5/7.8
5.8
1.47
150
FT112T
7.5/9.4
6.5
1.08
110
FT612T
7.5/9.4
6.5
1.47
150
FT122T
10/11
7.2
1.08
110
FT622T
10/11
7.2
1.77
180
FT104T
5/5.1
4.9
1.08
110
FT604T
5/5.1
4.9
1.47
150
FT114T
7.5/5.1
4.9
1.08
110
FT614T
7.5/5.1
4.9
1.47
150
Art. No.
10
Diameter of fenestration 3.5 mm
Closing force
Blade
length
mm
L1/L2
L1
L2
3.5
mm
Art. No.
N
g
L1
L2
3.5
mm
N
g
TEMPORARY
PERMANENT
Diameter of fenestration 3.5 mm
Maximal
opening
mm
N
g
FT137T
3/9.8
7.4
1.08
110
FT637T
FT138T
4/10.8
7.4
1.08
110
FT139T
5/11.8
7.4
1.08
FT140T
6/12.7
7.9
FT150T
9/15.7
FT142T
Art. No.
L1
Art. No.
L1
L2
Blade
length
mm
L1/L2
Maximal
opening
Closing force
mm
N
g
3/9.8
7.4
1.47
150
FT638T
4/10.8
7.4
1.47
150
110
FT639T
5/11.8
7.4
1.47
150
1.08
110
FT640T
6/12.7
7.9
1.47
150
9.1
1.08
110
FT650T
9/15.7
9.1
1.47
150
5/9
6.5
1.08
110
FT642T
5/9.4
6.5
1.47
150
FT152T
7.5/10.6
7.2
1.08
110
FT652T
7.5/10.6
7.2
1.47
150
FT162T
10/12.2
7.8
1.08
110
FT662T
10/12.2
7.8
1.77
180
FT144T
5/6.7
5.5
1.08
110
FT644T
5/6.7
5.5
1.47
150
FT154T
7.5/6.7
5.5
1.08
110
FT654T
7.5/6.7
5.5
1.47
150
STANDARD
Closing force
Blade
length
mm
L1/L2
TITANIUM
Diameter of fenestration 3.5 mm
L2
11
YASARGIL® Aneurysm Clip System
ULTRA SHORT FENESTRATED Clips
PERMANENT
TITANIUM
STANDARD
Art. No.
L1
L2
Maximal
opening
Closing force
Diameter of
fenestration
mm
L1/L2
mm
N
mm
“Dog-ear“-Clips
FT902T
3.0/6.3
5.8
1.47
3.5
Aneurysm clips with a particularly short
blade length (3 mm) and fenestration
serve for the treatment of minor
aneurysms (e.g. “dog-ear-aneurysms“).
FT904T
3.0/5.1
4.9
1.47
3.5
FT942T
3.0/8.1
6.0
1.47
5.0
FT944T
3.0/6.7
5.5
1.47
5.0
Titanium Reinforcing Clip
PERMANENT
Titanium reinforcing clip to increase the
closing force of YASARGIL Titanium
Standard Aneurysm Clips.
Art. No.
FT900T
12
Blade
length
YASARGIL® Aneurysm Clip System
Titanium Mini Clips with Fenestration
Maximal
opening
Closing force
Diameter of
fenestration
mm
L1/L2
mm
N
mm
FT802T
3.0/6.9
3.2
110
3.5
FT804T
3.0/5.1
3.2
110
3.5
Art. No.
First Mini clips with fenestration
■
3.5
Allows use of fenestrated clips in narrow spaces
Thin blades and a reduced
triangle-shaped gap at the proximal end
■
L2
Supports the precise reconstruction of the
vascular structure with multiple clipping
techniques
TITANIUM
Blade
length
L1
STANDARD
PERMANENT
Area of use
Neck remnants of clipped aneurysms like
“Dog-ear aneurysms”
■ Developed in co-operation with:
Entwickelt in Zusammenarbeit
Rokuya Tanikawa, M. D.
Director Stroke Center, Department of Neurosurgery
Teishinkai Hospital, Sapporo, Japan
13
YASARGIL® Aneurysm Clip System
Titanium T-Bar Clips
PERMANENT
Diameter of fenestration 5 mm
Blade
length
Art. No.
L
Angle
mm
Maximal
opening
Closing force
mm
N
g
T-BAR
FT852T
5.0
45°
5.5
1.47
150
TITANIUM
L
FT853T
9.0
45°
5.5
1.47
150
FT854T
5.0
90°
5.5
1.47
150
FT855T
9.0
90°
5.5
1.47
150
FT856T
13.0
90°
5.5
1.77
180
FT864T
9.0
90°
5.5
1.47
150
FT865T
13.0
90°
5.5
1.77
180
14
PERMANENT
Diameter of fenestration 5 mm
Blade
length
Art. No.
L
Angle
mm
Maximal
opening
mm
Closing force
N
g
9.0
90°
5.5
1.47
150
FT858T
9.0
90°
5.5
1.47
150
FT859T
13.0
60°
5.5
1.77
180
FT860T
13.0
60°
5.5
1.77
180
TITANIUM
FT857T
T-BAR
L
15
YASARGIL® Aneurysm Clip System
Titanium Mini Clips
TEMPORARY
MINI
TITANIUM
Closing force
Blade
length
Maximal
opening
mm
mm
N
g
FT180T
3.0
3.3
0.88
90
FT190T
5.0
4.0
0.69
FT200T
3.0
3.3
FT210T
5.0
FT220T
Closing force
Blade
length
Maximal
opening
mm
mm
N
g
FT680T
3.0
3.3
1.08
110
70
FT690T
5.0
4.0
1.08
110
0.88
90
FT700T
3.0
3.3
1.08
110
4.0
0.69
70
FT710T
5.0
4.0
1.08
110
7.0
4.6
0.69
70
FT720T
7.0
4.6
1.08
110
FT182T
2.8
3.2
0.88
90
FT682T
2.8
3.2
1.08
110
FT194T
4.0
3.6
0.78
80
FT694T
4.0
3.6
1.08
110
FT192T
4.7
3.8
0.69
70
FT692T
4.7
3.8
1.08
110
FT211T
4.0
3.6
0.78
80
FT711T
4.0
3.6
1.08
110
FT212T
4.7
3.8
0.69
70
FT712T
4.7
3.8
1.08
110
FT213T
4.0
3.6
0.78
80
FT713T
4.0
3.6
1.08
110
FT226T
5.2
4.0
0.69
70
FT714T
3.9
3.5
1.08
110
Art. No.
16
PERMANENT
L
Art. No.
L
PERMANENT
Maximal
opening
mm
mm
N
g
FT222T
6.6
4.4
0.69
70
FT214T
3.9
3.5
0.78
FT224T
5.0
4.0
FT216T
5.0
FT307T
Closing force
Blade
length
Maximal
opening
mm
mm
FT726T
5.2
4.0
1.08
110
80
FT722T
6.6
4.4
1.08
110
0.69
70
FT724T
5.0
4.0
1.08
110
3.5
0.69
70
FT716T
5.0
3.5
1.08
110
4.7
4.0
0.69
70
FT807T
4.7
4.0
1.08
110
FT217T
6.3
6.0
0.69
70
FT717T
6.3
6.0
1.08
110
FT227T
4.0
7.0
0.69
70
FT727T
4.0
7.0
1.08
110
FT228T
7.0
5.7
0.69
70
FT728D
7.0
5.7
1.08
110
FT306T
7.0
4.5
0.69
70
FT806T
7.0
4.5
1.08
110
Art. No.
L
Art. No.
L
■
MR Conditional, 3-Tesla or less*
■
Color coding with violet spring (Mini clip) and golden or silver blades (temporary or permanent clip respectively)
■
Sterile packaging
N
g
MINI
Closing force
Blade
length
TITANIUM
TEMPORARY
* Please refer to the MRI Safety Information section of the Instructions for Use for MR-related safety information.
17
YASARGIL® Aneurysm Clip System
Double Bayonet Clip Applier
APPLIERS FOR TITANIUM CLIPS
STANDARD
MINI
, 3 ⁄2“
90 mm
FT501T
FT511T
with latch
FT505T
FT515T
without latch
1
Total length: 225 mm, 87⁄8“
FT502T
FT512T
with latch
FT506T
FT516T
without latch
The Double Bayonet Clip Applier has an
additional bayonet shape at the jaw.
■
■
18
Color coded is indicated on the handle (
= Standard;
= Mini)
⁄“
1 4
m, 4
110 m
Total length: 245 mm, 95⁄8“
This allows for a better view of
the clip.
■
Titanium Vario Clip Applier
MINI
FT412T
⁄“
1 2
m, 3
90 m
Total length: 220 mm, 8 3⁄4“
FT402T
APPLIERS FOR TITANIUM CLIPS
STANDARD
The articulating, adjustable jaw
provides improved versatility in
clip positioning.
■
■
FT402800
■
Adjusting Key for Vario Clip Applier
for setting the angle within the jaw.
Adjusting Key
Color indicators feature blue for Standard and violet for Mini
19
YASARGIL® Aneurysm Clip System
XS Clip Applier for Titanium Clips
APPLIERS FOR TITANIUM CLIPS
STANDARD
MINI
90
FT495T
FT490T
Total length: 230 mm, 9”
m,
m
110
FT496T
■
20
FT491T
⁄“
1 2
,3
mm
“
4 1 / 4
Total length: 250 mm, 93⁄4“
­Standard and Mini Clip identifiers are located on the label inside the handle
APPLIERS FOR TITANIUM CLIPS
Disassembly
The XS Applier is detachable in
2 parts for thorough cleaning.
A cleaning brush is provided free
of charge with every applier.
21
YASARGIL® Aneurysm Clip System
Clip Applier for Titanium Clips
APPLIERS FOR TITANIUM CLIPS
STANDARD
MINI
50
FT480T
, 2“
mm
straight
FT470T
FT482T
FT472T
straight
FT485T
FT475T
15° angled
22
⁄“
FT484T
FT474T
straight
FT487T
FT477T
15° angled
­Color indicators feature blue for Standard and violet for Mini
Total length: 220 mm, 83⁄4“
1 4
m, 4
■
⁄“
1 2
m, 3
90 m
m
110
Total length: 180 mm, 7“
Total length: 250 mm, 93⁄4“
Removing Forceps for Titanium Clips
MINI
With special jaws for easier
removal of an applied clip
■
FT082T
FT072T
Total length: 220 mm, 83⁄4“
110
FT083T
■ FT073T
, 4 ⁄4
mm
1
⁄“
1 2
m, 3
90 m
APPLIERS FOR TITANIUM CLIPS
STANDARD
“
Total length: 250 mm, 93⁄4“
­Color indicators feature blue for Standard and violet for Mini
23
24
PHYNOX CLIPS
PHYNOX
Phynox Clips and Appliers
25
YASARGIL® Aneurysm Clip System
Phynox Standard Clips
PERMANENT
PHYNOX STANDARD
Closing force
Blade
length
Maximal
opening
mm
mm
N
FE740K
7.0
6.2
1.47
150
FE750K
9.0
7.0
1.77
FE760K
11.0
7.8
FE780K
15.0
FE792K
Closing force
Blade
length
Maximal
opening
mm
mm
N
FE762K
10.2
7.5
1.77
180
180
FE782K
13.7
8.7
1.96
200
1.77
180
FE786K
15.3
9.8
1.96
200
9.2
1.96
200
FE744K
5.4
5.5
1.47
150
17.5
10.6
1.96
200
FE754K
6.4
6.1
1.77
180
FE790K
20.0
11.4
1.96
200
FE764K
8.0
6.5
1.77
180
FE840K
25.0
13.3
1.77
180
FE784K
10.3
7.4
1.96
200
FE742K
6.5
6.0
1.47
150
FE823K
7.4
5.4
1.77
180
FE752K
8.3
6.8
1.77
180
FE824K
8.4
5.8
1.77
180
Art. No.
26
PERMANENT
L
Art. No.
g
L
g
PERMANENT
Closing force
Blade
length
Maximal
opening
mm
mm
N
FE825K
10.5
6.2
1.77
180
FE748K
7.0
7.9
1.96
FE758K
9.0
8.7
FE759K
12.0
FE798K
Closing force
Blade
length
Maximal
opening
mm
mm
FE603K
6.1
6.5
1.96
200
200
FE613K
8.0
6.2
1.96
200
1.96
200
FE623K
10.6
7.8
1.96
200
10.2
1.96
200
FE763K
11.8
8.4
1.96
200
20.0
13.0
1.77
180
FE810K
9.0
6.5
1.96
200
FE770K
5.0
8.0
1.96
200
FE819K
5.0
5.6
1.96
200
FE771K
5.0
8.0
1.96
200
FE820K
7.0
4.5
1.96
200
FE772K
5.0
8.0
1.96
200
FE822K
10.0
5.6
1.96 200
Art. No.
L
■
MR Conditional, 3-Tesla or less*
■
Color coding with silver spring and blades (permanent clip)
■
Sterile packaging
Art. No.
g
L
N
g
PHYNOX STANDARD
PERMANENT
* Please refer to the MRI Safety Information section of the Instructions for Use for MR-related safety information.
27
YASARGIL® Aneurysm Clip System
Phynox Standard Clips
PERMANENT
PHYNOX STANDARD
28
Closing force
Blade
length
Maximal
opening
mm
mm
N
FE850K
6.7
5.4
1.96
200
FE851K
9.0
5.6
1.96
200
FE830K
7.0
7.2
1.96
200
FE832K
9.3
7.2
1.96
200
FE833K
11.3
8.2
1.96
200
FE746K
7.0
5.7
1.96
200
FE773K
7.8
6.5
1.77
180
FE761K
11.4
8.0
1.96
200
FE747K
8.6
7.0
1.77
180
Art. No.
L
g
Phynox Standard Clips with Fenestration
PERMANENT
PERMANENT
Diameter of fenestration 3.5 mm
Diameter of fenestration 3.5 mm
Blade
length
mm
L1/L2
Maximal
opening
mm
N
g
FE597K
3/8.1
6.5
1.47
150
FE598K
4/9.1
6.6
1.47
FE599K
5/10.1
7.0
FE600K
6/11
FE610K
FE620K
Art. No.
L1
3.5
L2
Blade
length
mm
L1/L2
Maximal
opening
mm
N
g
FE602K
5/7.3
5.8
1.47
150
150
FE612K
7.5/8.9
6.5
1.47
150
1.47
150
FE622K
10/10.5
7.2
1.77
180
7.4
1.47
150
FE604K
5/4.9
4.9
1.47
150
9/14
8.4
1.47
150
FE614K
7.5/4.9
4.9
1.47
150
12/17
9.6
1.77
180
FE624K
10/4.9
4.9
1.77
180
Closing force
Art. No.
L1
3.5
Closing force
PHYNOX STANDARD
L2
29
YASARGIL® Aneurysm Clip System
Phynox Standard Clips with Fenestration
PERMANENT
PERMANENT
Diameter of fenestration 3.5 mm
Maximal
opening
FE637K
3/9.8
6.7
1.47 150
FE638K
4/10.8
7.1
FE639K
5/11.8
FE640K
PHYNOX STANDARD
L2
Blade
length
mm
L1/L2
Maximal
opening
FE662K
10/12.2
7.8
1.77 180
1.47 150
FE644K
5/6.4
5.5
1.47
150
7.5
1.47 150
FE654K
7.5/6.4
5.5
1.47
150
6/12.7
7.9
1.47 150
FE664K
10/6.4
5.5
1.77
180
FE650K
9/15.7
9.1
1.47 150
FE648K
5/15.2
7.9
1.47
150
FE660K
12/18.7
10.3
1.77 180
FE658K
7.5/17.7
8.8
1.47
150
FE642K
5/9
6.5
1.47 150
FE668K
10/20.2
10.0
1.77
180
FE652K
7.5/10.6
7.2
1.47 150
FE774K
5/6.7
5.0
1.47
150
Art. No.
30
L2
Blade
length
mm
L1/L2
L1
mm
Closing force
N
Art. No.
g
L1
mm
Closing force
N
g
L2
PERMANENT
Blade
length
mm
L1/L2
Maximal
opening
mm
N
g
FE775K
7.5/6.7
5.0
1.47
150
FE776K
10/6.7
5.0
1.47
FE777K
5/6.7
5.0
FE778K
7.5/6.7
FE779K
L2
Blade
length
mm
L1/L2
Maximal
opening
mm
N
g
FE886K
5/7.4
5.0
1.47
150
150
FE887K
7.5/8.1
5.0
1.47
150
1.47
150
FE888K
5/7.4
5.0
1.47
150
5.0
1.47
150
FE889K
7.5/8.1
5.0
1.47
150
10/6.7
5.0
1.47
150
FE891K
5/6.6
5.0
1.47
150
FE881K
5/10.4
7.0
1.47
150
FE892K
7.5/6.6
5.0
1.47
150
FE882K
7.5/12.4
7.8
1.47
150
FE893K
5/6.6
5.0
1.47
150
FE883K
10/14.5
8.8
1.47
150
FE894K
7.5/6.6
5.0
1.47
150
Art. No.
L1
Closing force
Art. No.
L1
Closing force
PHYNOX STANDARD
PERMANENT
31
YASARGIL® Aneurysm Clip System
Phynox T-Bar Clips acc. to KOPITNIK, 5.0 mm
PERMANENT
Diameter of fenestration 5 mm
Blade
length
Art. No.
PHYNOX STANDARD
L
32
Aneurysm clip with
a unique design
The blades of the T-Bar Clip are orient­
ed in a 90° or 45° angle to the axis
of the spring resulting in a T-like clip
form. The unique shape opens
up new options for the treatment
of complicated cerebral aneurysms.
The spring type is identical to the
existing and proven standard
YASARGIL Aneurysm Clip with a
5 mm diameter fenestration.
Angle
mm
Maximal
opening
mm
Closing force
N
g
L
FE852K
5.0
45°
5.5
1.47 150
FE853K
9.0
45°
5.5
1.47 150
FE854K
5.0
90°
5.5
1.47 150
FE855K
9.0
90°
5.5
1.47 150
FE856K
13.0
90°
5.5
1.77 180
PERMANENT
Diameter of fenestration 5 mm
L
Angle
mm
Maximal
opening
mm
Closing force
N
g
L
FE857K
9.0
90°
5.5
1.47 150
FE858K
9.0
90°
5.5
1.47 150
FE859K
13.0
60°
5.5
1.77 180
FE860K
13.0
60°
5.5
1.77 180
PHYNOX STANDARD
Blade
length
Art. No.
33
YASARGIL® Aneurysm Clip System
ULTRA SHORT FENESTRATED Clips, 5.0 mm
PERMANENT
Diameter of fenestration 5 mm
PHYNOX STANDARD
Art. No.
L1
L2
Closing force
mm
N
3.0/8.1
6.0
1.47
FE944K
3.0/6.4
5.5
1.47
PERMANENT
Art. No.
FE900K
34
Maximal
opening
FE942K
Phynox Reinforcing Clip
Phynox reinforcing clip can be used to
increase the closing force of YASARGIL
Phynox Standard Aneurysm Clips.
Blade
length
mm
L1/L2
Phynox Long Clips and Applier
PERMANENT
Blade
length
mm
L1/L2
L
Maximal
opening
mm
Closing force
N
g
■
FE861K
30
19
1.86 190
FE862K
35
21
1.96 200
FE863K
40
23
1.96 200
Clip with extra long blades for the
treatment of giant aneurysms.
PHYNOX LONG
Art. No.
Clip Applier for Long Clips
■
With "active“ locking mechanism;
the applier can be used with or
without the lock being activated.
⁄“
1 2
,3
m
0m
9
FE560K
Total length: 200 mm, 7 7⁄8“
35
YASARGIL® Aneurysm Clip System
Phynox Standard and Mini Clips
PHYNOX STANDARD AND MINI
TEMPORARY (STANDARD)
36
TEMPORARY (STANDARD)
Blade
length
mm
L1/L2
Maximal
opening
mm
N
g
­­­­FE751K
9.0
7.0
0.69
70
FE753K
8.4
6.8
0.69
70
FE755K
6.7
6.1
0.69
70
Art. No.
L
Closing force
Blade
length
mm
L1/L2
Maximal
opening
mm
N
g
FE795K
16.8
9.9
0.88
90
FE801K
13.0
7.5
0.88
90
Art. No.
L
Closing force
TEMPORARY (MINI)
FE769K
11.0
7.8
0.69
70
FE681K
3.0
3.3
0.49
50
FE781K
15.0
9.2
0.69
70
FE691K
5.0
4.0
0.49
50
FE783K
13.8
8.7
0.69
70
FE683K
2.8
3.2
0.49
50
FE785K
10.4
7.4
0.69
70
FE693K
4.7
3.8
0.49
50
FE756K
9.1
6.2
0.69
70
FE721K
7.0
4.6
0.69
70
FE791K
20.0
11.4
0.88
90
FE723K
6.6
4.4
0.69
70
FE793K
18.7
11.0
0.88
90
FE725K
5.0
4.0
0.69
70
PERMANENT (MINI)
Blade
length
mm
L1/L2
Maximal
opening
Blade
length
mm
L1/L2
Maximal
opening
mm
N
g
mm
N
g
FE680K
3.0
3.3
1.08
110
FE726K
5.2
4.0
1.08
110
FE690K
5.0
4.0
1.08
110
FE722K
6.6
4.4
1.08
110
FE700K
3.0
3.3
1.08
110
FE714K
3.9
3.5
1.08
110
FE710K
5.0
4.0
1.08
110
FE724K
5.0
4.0
1.08
110
FE720K
7.0
4.6
1.08
110
FE716K
5.0
3.5
1.28
130
FE682K
2.8
3.2
1.08
110
FE807K
4.7
4.0
1.08
110
FE692K
4.7
3.8
1.08
110
FE717K
6.3
6.0
1.28
130
FE694K
4.0
3.6
1.08
110
FE727K
4.0
7.0
1.28
130
FE711K
4.0
3.6
1.08
110
FE728K
7.0
5.7
1.28
130
FE712K
4.7
3.8
1.08
110
FE806K
7.0
4.5
1.28
130
Art. No.
L
Closing force
Art. No.
■
FE713K
4.0
3.6
1.08
110
■
L
Closing force
PHYNOX MINI
PERMANENT (MINI)
MR Conditional, 3-Tesla or less*
Color coding with gold spring and blades (temporary clip) and
silver spring and blades (permanent clip)
* Please refer to the MRI Safety Information section of the
Instructions for Use for MR-related safety information.
37
YASARGIL® Aneurysm Clip System
Double Bayonet Clip Applier for Phynox Clips
APPLIERS FOR PHYNOX CLIPS
STANDARD
MINI
, 3 ⁄2“
90 mm
FE301K
FE311K
with latch
FE305K
FE315K
without latch
1
Total length: 225 mm, 87⁄8“
m
110 m
FE302K
FE312K
with latch
FE306K
FE316K
without latch
■
■
38
The Double Bayonet Clip Applier has
an additional bayonet at the jaw.
Color coded is indicated on the handle (
= Standard;
= Mini)
Total length: 245 mm, 95⁄8“
■
This allows for a better view
of the clip.
Vario Clip Applier for Phynox Clips
MINI
FE512T
⁄“
1 2
m, 3
90 m
Total length: 220 mm, 8 3⁄4“
FE502T
■
■
FT402800
■
APPLIERS FOR PHYNOX CLIPS
STANDARD
The articulating, adjustable jaw provides
improved versatility in clip positioning.
Adjusting Key for Vario Clip Applier
for setting the swivel at an angle.
Adjusting Key
Distinction between Standard and Mini appliers through label on the spring
39
YASARGIL® Aneurysm Clip System
XS Clip Applier for Phynox Clips
APPLIERS FOR TITANIUM CLIPS
STANDARD
MINI
■
■
360° rotation
Suitable for narrow approaches
90
FE495K
FE490K
Total length: 230 mm, 9”
m,
m
110
FE496K
FE491K
4 ⁄4
1
“
Total length: 250 mm, 93⁄4“
Disassembly
The XS Applier is detachable in
2 parts for thorough cleaning.
A cleaning brush is provided free
of charge with every applier.
■
40
­Standard and Mini Clip identifiers are located on the label inside the handle
⁄“
1 2
,3
mm
STANDARD
MINI
FE558K
FE548K
straight
Total length: 180 mm, 7“
, 2“
50 mm
FE580K
FE570K
straight
90 mm, 3
1
Total length: 175 mm, 67⁄8“
⁄2“
FE582K
FE572K
straight
FE585K
FE575K
15° angled
110 mm,
APPLIERS FOR TITANIUM CLIPS
Clip Applier for Phynox Clips
Total length: 215 mm, 81⁄2“
43 ⁄8“
FE584K
FE574K
straight
FE587K
FE577K
15° angled
Total length: 215 mm, 81⁄2“
41
YASARGIL® Aneurysm Clip System
STORAGE AND ACCESSORIES
Storage
FT007P
FT006P
Clip Tray - Full
For storage, transport and sterilization
of Aesculap YASARGIL Aneurysm Clips.
■ Autoclavable plastic
■ Fits 1/1 standard container
■ 34 storage compartments for Standard
and Mini Clips
■ 4 storage compartments for Long Clips
■ With special identification tags for
individual tray configuration
Clip Tray - Half
For storage, transport and sterilization
of Aesculap YASARGIL Aneurysm Clips.
■ Autoclavable plastic
■ Fits 1/2 standard container
■ 15 storage compartments for Standard
and Mini Clips
■ 3 storage compartments for Long Clips
■ With special identification tags for
individual tray configuration
FT006P
FT007P
MD382
42
AVM Clip Tray
Allow quick and easy recording of the necessary clip data;
Helpful for classifying and reordering the clips that have been removed.
spring size
actual size illustration
blade length
STORAGE AND ACCESSORIES
Identification tags for the Clip Trays
clip material
article number
For each clip variant there is a matching identification tag.
The article numbers of the tags are as follows:
Art. No. of clip + "-TAG“
e.g.: FT740T-TAG is the identification tag for the clip FT740T
The identification tags for temporary clips are yellow and for permanent clips grey
in line with the color coding of the YASARGIL Aneurysm Clips.
43
YASARGIL® Aneurysm Clip System
STORAGE AND ACCESSORIES
Storage
FM665R
Storage for clip appliers
Perforated basket with lid, for storage of clip appliers
Patient identification card for Clip implants
■
Provides traceability for physician and patient for follow-ups
■
Includes information about the MRI-compatibility of the clips
■
Printed version available via AIC Literature website
Notes
on
y Informati
MRI Safet
nal
MR Conditio
eurysm
d Phynox An
Titanium an
The Yasargil
onal
iti
nd
Co
t the
Clips are MR
nstrated tha
testing demo
itional. A
Non-clinical
is MR Cond
ely,
eurysm Clip
scanned saf
be
Yasargil An
n
ca
e
this devic
following
patient with
ent under the
cem
pla
er
aft
y
immediatel
less
conditions:
of 3-Tesla or
gnetic field
gradient
■ Static ma
um spatial
p - Maxim
.0 T/m) or
cli
(30
ium
an
/cm
■ Tit
Gauss
eld of 3000
magnetic fi
dient
gra
l
s
tia
les
spa
p - Maximum
(15.0 T/m)
- Phynox cli
-Gauss/cm
eld of 1,500
magnetic fi
dy
ed, whole bo
or less
tem report
um MR sys
el Controlled
■ Maxim
/kg (First Lev
-W
of4
R
SA
averaged
de)
Operating Mo
MR
Heating
above, the
MRI-Related
ns defined
pected to
scan conditio
Under the
m Clip is ex
C
ium Aneurys
an
Tit
rise of +1.8°
gil
Yasar
temperature
um
xim
ing.
ma
produce a
nuous scann
the
tes of conti
e,
nu
ov
mi
ab
d
15
ne
after
ns defi
scan conditio
expected to
Under the
rysm Clip is
C
ynox Aneu
rise of +2.2°
Yasargil Ph
temperature
um
xim
ma
nning.
produce a
ntinuous sca
ct caused
nutes of co
ifa
mi
art
15
e
ag
er
aft
the im
al testing,
5 mm from
In non-clinic
proximately
mm
e extends ap
Clip and 20
by the devic
Aneurysm
ium
an
Tit
m Clip when
the Yasargil
ox Aneurys
uence and
sargil Phyn
Ya
seq
the
lse
m
pu
fro
echo
a gradient
imaged with
system.
a 3-Tesla MR
ns under
the conditio
uld register
ely with the
Patients sho
scanned saf
plant can be
lert.org) or
ica
ed
.m
which the im
tion (www
da
un
Fo
rt
MedicAle
n.
organizatio
equivalent
Patient
Id
Yasargil ®
Aesculap
entifica
Aneurysm
Neurosu
rgery
Patient na
me
Date of
birth
male
female
44
tion Card
Clips
AVM MICRO CLIP SYSTEM
Kopitnik AVM Micro Clip System
For the treatment of arteriovenous malformations.
45
AVM Micro System
Micro Clips
closing force between 50 g and 70 g
closing force between 50 g and 70 g
Art. No.
AVM MICRO CLIP SYSTEM
Single Pack
Art. No.
4-pack
Blade
length
Maximal
opening
mm
mm
Art. No.
Single Pack
Art. No.
4-pack
Blade
length
Maximal
opening
mm
mm
FE902K
FE922K
2
1.5
FE912K
FE932K
2
1.5
FE903K
FE923K
3
1.7
FE913K
FE933K
3
1.7
FE904K
FE924K
4
2.0
FE914K
FE934K
4
2.0
FE905K
FE925K
5
2.3
FE915K
FE935K
5
2.3
Indications for Use:
The Aesculap AVM Microclips are intended for intracranial vascular occulsion (permanent or temporary) of small vessels.
The Aesculap AVM Microclip Applier is intended for holding and applying intracranial AVM Microclips.
See Instructions for Use for additional information including Warnings and Precautions.
Rx Only.
46
Micro Clip Applier
STANDARD
ing
rk
Wo
FE906K
Working length: 40 mm, 11⁄2“
FE907K
Working length: 70 mm, 23⁄4“
FE908K
Working length: 90 mm, 31⁄2“
FE909K
Working length: 110 mm, 41⁄2“
AVM MICRO CLIP SYSTEM
XS - Design
gth
len
ngth
ing le
Work
FE917K
Working length: 70 mm, 23⁄4“
FE918K
Working length: 90 mm, 31⁄2“
47
AVM Clip System
Micro Coil Scissors
STANDARD
MICRO COIL SCISSORS
80 mm, 31⁄8”
FD062R
110 mm, 43⁄8”
FD063R
In special cases, coil wires have to be cut and
removed. For this procedure, special coil scissors
are extremely helpful.
"With the new coil scissors it is simple and safe to cut
the coils - a very helpful tool when you have to operate
on an aneurysm that had been previously treated via an
endovascular approach.“
Developed in co-operation with:
Dr. Thomas A. Kopitnik, Jr.
Central Wyoming Neurosurgery
Casper, Wyoming, USA
48
ing
rk
Wo
FE906K
Working length: 40 mm, 11⁄2“
FE907K
Working length: 70 mm, 23⁄4“
FE908K
Working length: 90 mm, 31⁄2“
FE909K
Working length: 110 mm, 41⁄2“
AVM MICRO CLIP SYSTEM
XS - Design
gth
len
ngth
ing le
Work
FE917K
Working length: 70 mm, 23⁄4“
FE918K
Working length: 90 mm, 31⁄2“
MD382
AVM Clip Tray
49
Notes
50
51
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DOC697 Rev E 3/15